Redoubtable Referrals

Confronted with a complex implant restoration case? Have a patient with a severely atrophic maxilla?

The Centre for Oral-Maxillofacial and Dental Implant Reconstruction, a ZAGA centre based in Manchester, offers an outstanding referral service that can cater to even the most complex cases.

The development of the evidence based ZAGA technique is an exciting advance in zygomatic implant placement. The ZAGA concept maximises long-term success and minimises complications by adapting treatment to the patient’s individual anatomy. Led by Professor Cemal Ucer – Specialist Oral Surgeon – the team is well-equipped and highly experienced in all aspects of implant dentistry, ensuring that whatever approach is best for your patient can be pursued.

The practice offers advanced treatments including nerve lateralisation and repositioning, allografts, and more. From straightforward first-time implant cases to complex cases, the team will put your patient at ease as they receive the best of care in our cutting edge, ultra-hygienic facilities.

Call our team today and we will be happy to discuss how we can help.

 

Please contact Professor Ucer at ucer@icedental.institute or Mel Hay at mel@mdic.co

01612 371842

www.ucer-clinic.dental

RelyX: the recommended choice

3M Oral Care is proud to announce that its RelyX Universal Resin Cement has achieved a 99% clinical rating on Dental Advisor.

Comments from the judging panel included:

“The syringe is super comfortable to hold and has an indicator on the plunger to show when it is empty.”

“It’s great to have one cement with options for multiple methods of adhesive bonding.”

“The new syringe and tip are a wonderful combination! Excellent engineering.”

RelyX Universal Resin Cement also won the coveted prize of “Best Universal Resin Cement”, making it clear that it’s the optimal choice.

So what are you waiting for? Discover why RelyX Universal Resin Cement from 3M is the Dental Advisor Editor’s Choice by contacting the team today!

 

For more information, call 0845 873 4066 or visit www.go.3M.com/rxu

 

3M representatives remain contactable by phone or via video conferencing

3M and RelyX are trademarks of the 3M Company. 

BACD President discusses highlights of term

As he reaches the end of his year as President of the British Academy of Cosmetic Dentistry (BACD), Dr Paul Abrahams shares some of his highlights:
“It’s been great to see that the BACD didn’t lose any members despite everything this year and that we have developed our support of members even further. Perhaps what I’m most proud of is our affiliation with charity Confidental. Their work in supporting dentists who are struggling has been incredibly important this past year, when so many have faced hardships. Our backing has enabled them to train more volunteers so that more phone calls could be answered and more individuals given the advice and life-changing support they needed.
“Looking ahead, we are keen to invite new professionals to join. The BACD is proud to be a progressive and supportive community, which should not be underestimated. We share a passion for what we do and this is evident during every event, every course and every virtual interaction. It’s what the BACD is built on.
“On that note, I would like to thank everyone who has supported my term as President, including Past President Nishan Dixit. We have a very strong Board and committees, which is only made possible by the people who selflessly give up their time. Your hard work is so appreciated and the BACD wouldn’t be what it is today without you!

For further enquiries about the British Academy of Cosmetic Dentistry, visit www.bacd.com

Technology tailored to you

Delivering exceptional patient care demands exceptional technology. The Straumann Group is pleased to offer a selection of industry-leading intraoral scanners, each with a range of fantastic features so you can choose the best for you and your patients.

The Medit i500 and Medit i700 intraoral scanners include features designed for high performance and an unrivalled patient experience. A small tip enables simpler maneuverability and improved patient comfort, while high resolution images facilitate optimum accuracy. Contributing to the innovative design are lightweight handling, vivid colour scans, and efficient single button control.

Providing the freedom of wireless scanning, the 3Shape TRIOS® intraoral scanner offers exceptional handling. Accuracy comes as standard with the ability to measure and record the patient’s tooth shade and jaw movement, while intuitive design enables the fast production of digital colour impressions.

The Straumann Group is leading the way in digital dentistry, providing effective solutions tailored to the needs of the dentist – covering everything from equipment and materials, to software and services. Find out more about the advanced range of industry-leading intraoral scanners today.

 

For more information on intraoral scanners and digital solutions from the Straumann Group, visit: https://www.straumann.com/digital/en/home/equipment/io-scanners.html

Broadening your treatment capabilities

One of the best things about working in the dental industry is that you are never limited in what you could become. With so many different fields open to professionals, it’s easy to diversify your skills and offer new treatments in order to help your practice stand out from the rest.

However, offering a broad spectrum of treatments isn’t always as simple as it sounds, and there are many things you need to consider before moving forwards.

Which treatments should I branch into?

There will already be some treatments that you are interested in providing for your patients. However, are these the solutions that are likely to have the highest amount of patient demand? It’s all well and good undergoing training and learning a complex new skill, but if this isn’t going to be beneficial to both your patients and your practice, it’s probably better to take a different path, at least for the mean time.

Look at treatment trends for those you currently provide – are lots of people asking for a specific procedure? Do you treat a high number of patients in a certain age group who may be more interested in dentures or dental implants? By assessing the make-up of your current clientele, you can help ensure that if you do branch into a new area, you have a solid client base ready to benefit from these new skills.

Of course, offering new treatments can also bring in new patients, especially if they are procedures that are in high demand such as tooth whitening. In this case, you need to look at the patient demographic of your practice and see if these are likely to be tempting treatments for your catchment area. For example, if your practice is near lots of schools, it may be a good idea to look into providing fitted mouthguards. On the other hand, if your practice is in an area predominantly populated by people in their early twenties to thirties, it would be an intelligent move to offer aesthetic procedures and tooth whitening as this is the main target age.

Training to hone your skills

It goes without saying that if you want to learn something new, you will need to find appropriate training. For some treatments this can be very straightforward. On the other hand, if you’re looking to branch out into more complex fields such as dental implantology or endodontics, you will need to explore the training options that are most convenient and beneficial for you.

There are tonnes of resources available for dentists looking for new skills. Be sure to choose training that is suitable for you both in terms of distance and length of training programme. You may be tempted to go always go for the nearest course, but look at reviews and see how other people have learned the skills you want in the past – recommendations from your colleagues are definitely a trustworthy source.

What about your team learning new skills too? It’s always beneficial to keep your practice team motivated and looking forward to the next step of their careers. This could be an opportunity to speak to them, see what their hopes are and identify what training and events could help them progress towards this target – a team that continually expands skills together is likely to be a very strong one!

Choosing systems that help you provide new treatment

When it comes to dental equipment, the systems in your practice need to be versatile and suitable in a wide array of indications. For example, diagnostic imaging systems should be to be able to cope with and excel in all kinds of cases. This is especially true if you are now offering more complex treatments that will require in-depth diagnoses and more thorough planning.

The CS 9600 CBCT system from Carestream Dental is a wonderful choice for professionals who need a versatile imaging system that always facilitates exceptional outcomes. Fitted with 14 different fields of view, this cutting-edge imaging system easily supports all of your diagnostic needs. Plus, added features such as the exclusive CS MAR module help ensure that image quality is optimal, even when patients have multiple metal restorations.

Diversify your treatment portfolio, reap the rewards

Learning new skills is an exciting way to remain motivated at work and to take your practice to the next level. By evaluating which treatments you should be offering your patients, finding appropriate training for you and your team and investing in technology that helps you to integrate these new skills into your practice, you can very successfully broaden your treatment capabilities.

Nimisha Nariapara

Bio

Nimisha is the Trade Marketing Manager at Carestream Dental covering the UK, Middle East, Nordics, South Africa, Russia and CIS regions. She has worked at Carestream Dental for the past 7 years, where she has developed her marketing skills and industry knowledge to bring the core values and philosophy of the company to the market. 

For more information, contact Carestream Dental on 0800 169 9692 or

visit www.carestreamdental.co.uk

For the latest news and updates, follow us on Facebook and Instagram @carestreamdental.uk

 

Do we really need contract reform?

…or do we just need to see more use being made of the existing flexibilities?

This may sound like defeat to some people, but it is simply being realistic. There was no mention of contract reform in the recently published Health Bill and, with another health bill likely to be several years away, people should now be trying to make the best of the legal framework that is already in place. One of the problems is that some people are willing to write or speak in public on issues they don’t actually understand.

I have written about flexible commissioning many times and remember attending an education day at the Faculty of Dental Surgery several years ago where the minister with portfolio responsibility for dentistry at the time was a speaker and made a positive reference to flexible commissioning. After the minister had departed, a speaker from the floor, an “eminent academic”, informed the audience that the concept of flexible commissioning was promising but that it first required some sort of contract reform to enable it to go ahead. This was complete rubbish but went unchallenged. Flexible commissioning is completely possible within the existing legislative framework. If I was being cynical, I might think that it would be very convenient for the majority of the secondary care providers present if this were true as flexible commissioning, done properly, would certainly lead to a greater proportion of services being provided in primary care with an overall cost saving for the NHS, care closer to home for patients and better career opportunities for those working in primary care.

The other thing I often read is that contract reform might have a negative impact on the viability of practices, especially those largely with an NHS focus. Again, this is not correct, current legislation means that the open-ended nature of the majority of dental contracts cannot be changed without agreement and neither can the contract value be reduced unless the provider has failed to deliver 96% of their contract in each of three separate years. I rather suspect that some of this uncertainty around NHS contracting is being created deliberately by those with an interest in encouraging people to move away from the NHS. As overall oral health continues to improve and patient demands and needs change, there will inevitably be more growth in the private sector as more treatments, which are quite rightly outside the scope of the NHS, become available and requested. The majority of adult orthodontics, purely cosmetic treatment, and more expensive treatment options that are not clinically necessary are certainly outside that scope.
Perhaps the most important section of the legislation, though, is not related to contracting.

The 2005 legislation, implemented in 2006, places a legal duty on the NHS to provide or commission NHS dentistry to the extent it considers necessary to meet the need in its area – clearly something it is now failing to do – and access to NHS dentistry is becoming a significant issue again. I saw some extensive media coverage about this issue on the local BBC news in the West Midlands. The problems being caused by the growing lack of access, exacerbated by the pandemic, were well articulated by patients, local dentists, and a representative of the BDA, but nobody mentioned that the NHS was now in breach of its statutory duty in many areas.
The NHS being in breach of its statutory duty is a very serious issue and nobody seems bothered.

The cause of this breach is not down to “the contract” but it is simply that those in high office now have consistently failed to address the emerging dental workforce issues. I recently wrote to the (now ex) minister with responsibility for dentistry and her reply referenced the Advancing Dental Care programme, which has just been published and clearly will do nothing in the short term to improve the situation. In more rural areas, this shortage is now affecting both mixed and fully private practices. Workforce issues are often only addressed when there is a crisis and there is a political need for short-term solutions, but it is essential to also look at the long term. In 2004, we looked to the EU for a short-term solution and expanded student numbers in England and more DCP engagement with a view to the long term. There seems to be no plan, or even effort, at the moment to tackle this issue in the short term. Or is that the plan? Ignore the problem and let more people provide or receive care outside the NHS and therefore reduce the NHS spend on dentistry.

The ministerial reply also conceded that the GDC could do more to address this issue. I think that is a gross understatement. If you look at how the GMC and the NMC are supporting the recruitment of doctors and nurses from overseas to tackle short-term issues and compare that with the total lack of interest in workforce issues shown by the GDC, then it rapidly becomes clear that the new Chair of the GDC has some serious work to do and needs to do it quickly.

About the author
Dr Barry Cockcroft CBE is the former Chief Dental Officer for England and current chair of the British Fluoridation Society.

Dental Protection adds four new members to its Board

Dental Protection has appointed four new members to its Board. Dr Rubina Fur, Ryan Hennessy, Dr Jigar Patel and Dr Shaam Shamsi bring with them a wealth of experience and expertise in the profession.

The Dental Board provides advice on developments within dentistry and shares experience which may impact on the

Medical Protection Society (MPS) and its dental members. The Board also advises the MPS Council on understanding the needs of Dental Protection members and the issues they face.

Dr Rubina Fur

Rubina is a general dental practitioner and has experience of working in one of the first pilot sites for NHS dental contract reform.

She has been involved in dental foundation training for many years, was a Dental Foundation Trainer/ Clinical Supervisor for 12 years and she was appointed a Trainee Support Tutor in the London Deanery (now Health Education England) in 2014, a post she held for five years.

This role involved working with foundation dentists to support their professional development and being available as a mentor. It was during this time that she developed her interest in law and ethics and has undertaken postgraduate studies in dental law and ethics at Bedford University.

Ryan Hennessy

Ryan Hennessy was first appointed to Dental Protection’s Irish Dental Advisory Committee in 2012, serving as its Chair, and joined the wider Dental Board in June 2021.

Ryan is a founding member of Inspire Dental, a group that provides CPD, compliance support and advice to general dentists. Prior to this, he has held numerous roles within the Irish Dental Association (IDA), including that of Director, Council member, GP Group Chairperson, and Honorary Membership Secretary. Through this work, he has lead panel discussions on independent practice and the business of dentistry, delivered CPD at IDA national conferences, and represented the IDA at the Practitioner Health Matters Programme.

Dr Jigar Patel

Jigar undertakes clinical work in primary care general practice and within the secondary care sector, and thus appreciates and recognises the challenges facing the profession in both settings.

He was appointed as a Consultant Orthodontist and the Clinical Lead for Orthodontics for East and North Hertfordshire NHS Trust in 2014.  Jigar has been an examiner for the Royal College of Surgeons for the MFDS examination and is actively involved in teaching and training. He is a member of the British Dental Association and the British Orthodontic Society.

Dr Shaam Shamsi

A former examiner for the Faculty’s MJDF examination, Shaam has an interest in cosmetic and implant dentistry. He currently examines for Overseas Registration Examination in London, Royal College of Surgeon’s LDS examination and the MFDS in Edinburgh.

After acquiring a postgraduate diploma in Medical Ethics and Law he has worked as a clinical panellist for the General Dental Council’s (GDC) Dental Complaints Service. In 2020, Shaam completed his 10-year appointment sitting as a panellist for the GDC’s Fitness to Practice procedures adjudicating matters on clinical and professional misconduct. He now mentors general dental practitioners who are subject to Fitness to Practice investigations.

Shaam lectures for many professional organisations including Health Education England and Dental Protection where he has presented a number of Risk Management Workshops. In the last five years, Shaam has been well known for his lecture on ‘Raising Medico-Legal Awareness in Implant Dentistry’.  He is also a Specialist Advisor to the Care Quality Commission and has undertaken practice inspections for the CQC.

Raj Rattan, Dental Director at Dental Protection said:

“I’m delighted to welcome our new Board members. Their combined knowledge and experience give them a deep understanding of the challenges faced by dentists and dental care professionals, which will prove an invaluable resource to further support our members throughout their careers. 

“Over the past couple of years, dentists and the wider dental team have faced extraordinary challenges in an already demanding professional landscape.

“They have however, remained committed to providing high quality dental care to their patients. We look forward to continuing our work with the Dental Board to support our hardworking members going forwards.”

The ease of a digital workflow

In a rapidly modernising world, technology can enhance and enrich the process of dental treatments. Traditional techniques have stood the test of time, and for many dentists, are dependable ways to get results. A successful procedure solidifies the rapport between patient and dentist; the former is left with a healthy smile, and the latter with positive feedback for their practice. Nevertheless, striving for accuracy means diminishing ways that errors could occur during or after a procedure. One of these ways could be equipping your practice with state-of-the-art technology, designed to lessen the time that patients spend in the chair, as well as reducing any prospect of an error occurring.

The importance of accuracy

Errors are always a possibility, and the more intricate the procedure, the higher the risk. While the long-term failure rate for dental implants is only 5-10%,[i] reducing the margin for error is still paramount. For example, on the rare occasion that the implant may be misplaced, nerve and/or tissue damage could be triggered, which may actually cause a decline in the quality of a patient’s life. [ii] Of course, the more experienced the dentist, the less likely issues will occur; in fact, studies have shown that there are connections between clinician training and the success of dental implant treatment.[iii] Therefore, newer generations of dentists need to stay ahead of the game and arm their practices with equipment designed to streamline procedures, and eliminate the margin of error.

Certain errors may also stem from conventional impression taking; the impression material may not capture the true likeness of the teeth and gingiva, perhaps due to the patient fidgeting. Or, more inevitably, the occurrence of moisture in the mouth, which can cause bubbles in the impression. The material itself may not be able to fit in the gaps between the teeth, which causes further inaccuracies. All of this can impact the precision and predictability of the restorative process.

Complexities within restorative treatment can be simplified by using digital equipment, such as intraoral scanners. Intraoral scanners enable dentists to produce impressions more quickly, comfortably, and efficiently. Any issues that may occur with traditional impression taking could be reduced with the use of a digital scanner; where the conventional impression material may not capture every intricacy of the mouth, the digital impression will.

Misconceptions

Digital technology can come with what seems to be a hefty price tag. Many dentists may be sceptical about committing to the digital path, but equipment, such as the intraoral scanners, are often a very effective investment. Patients, who are willing to commit the time and money to implant treatment, will want to maximise on their investment. A high standard of service, comfort and skill will be expected throughout the procedure. By encouraging faith and trust in the dentist and their practice, digital equipment will pay for themselves time and time again.

As expected, dentists must become acquainted with new technology. Re-learning procedures with the use of digital solutions may seem an arduous addition to an already hectic work schedule. But investing the time to learn these technologies and software programmes will prove beneficial, as accuracy will be achieved more easily, and thus the margin of error will be reduced. Patients may also be more willing to return to a dental practice if their experience of the procedure, and its results, was positive overall.

Sophisticated solutions from the Straumann Group

Treatments, both simple and complex, have varying likelihoods for potential errors, but it is increasingly important for dentists to ensure that treatment is accurate and efficient for the patient in all scenarios. Investing in the latest digital technology will aid in achieving this. The Straumann Group offers the distinguished 3Shape Trios® intraoral scanner, which makes for an ingenious addition to the digital workflow; scanning is enhanced with the instant-heat feature, meaning you can scan within seconds. The accuracy of these scans is made effortless, as the Trios® scanner creates crisp digital colour impressions, whilst measuring shades of the teeth. Comfort for both patient and dentist is optimised, as scans can be made quickly with no need for uncomfortable impression materials. The scanner blends seamlessly into the digital workflow, upgrading and revolutionising any dental treatment.

Patient comfort and happiness are the ultimate outcomes during and following any dental procedure. With the technology for dental treatments improving rapidly, keeping your practice ahead of the curve is easier now than ever.

 

For more information on intraoral scanners and digital solutions from the Straumann Group, visit: https://www.straumann.com/digital/en/home/equipment/io-scanners.html

 

[i] Tabanella, G., H. Nowzari and J. Slots. “Clinical and microbiological determinants of ailing dental implants.” Clinical implant dentistry and related research 11 1 (2009): 24-36.

[ii] Fukuda, K., Ichinohe, T., & Kaneko, Y. (2012). Pain Management for Nerve Injury following Dental Implant Surgery at Tokyo Dental College Hospital. International journal of dentistry2012, 209474. https://doi.org/10.1155/2012/209474

[iii] Sonkar, J., Maney, P., Yu, Q. et al. Retrospective study to identify associations between clinician training and dental implant outcome and to compare the use of MATLAB with SAS. Int J Implant Dent 5, 28 (2019). https://doi.org/10.1186/s40729-019-0182-6

 

For minimally invasive endo – and with unparalleled cutting efficiency – introducing the MicroMega One RECI, available from COLTENE

The MicroMega One RECI is a single-use reciprocating instrument for root canal shaping. It is a file that is truly unique; endodontists can explore opposite directions with the MicroMega One RECI!

The benefits at a glance:

  • Flexible
  • Safe
  • Minimally invasive
  • Unparalleled cutting efficiency.

How can one instrument offer all this? It is thanks to its C.Wire heat treatment, innovative design and the file’s reciprocating motion.

C.Wire for flexibility

C.Wire heat treatment, patented by MicroMega, is what gives the One RECI its flexibility and controlled memory. Because the file can be pre-bent, the complex root canal anatomy will be respected in all your endo cases. The heat treatment makes the instrument safer, and more resistant to cyclical fatigue.

Looking closer at design

The MicroMega One RECI has a variable triple helix-cross section on the tip, to guarantee the file can be centred in the root canal. There is also an s-shaped section in the middle and coronal parts, to increase the removal of debris.

With a wire diameter of 1mm, this preserves the peri-cervical part of the canal and minimises the mechanical impact on the surrounding hard dental tissues.

The design of the MicroMega One RECI delivers cutting efficiency and enables minimally invasive dentistry, supporting the conservative techniques that lead to successful endodontic outcomes.

Peace of mind

This is a single-use instrument for your peace of mind.

Single-use instruments exclude the risk of cross contamination and reduce the risk of file fracture. The MicroMega One RECI will therefore allow you to initiate predictable and stable root canal therapy with confidence. 

It’s the perfect compromise between flexibility and cutting efficiency. You can set up your motor in reciprocating motion in two different ways, so you have options for both “everyday” endodontics and for working with more challenging cases.

The file is available in five sizes (20/.04, 25/.04, 25/.06, 35/.04, 45/.04) and in three lengths (21mm, 25mm and 31mm).

Welcome to COLTENE

The MicroMega One RECI is available from COLTENE, as the latest addition to its endo range.

The COLTENE endodontics portfolio includes the CanalPro™ Jeni which, since its launch, has been a game changing revolution in canal preparation. An all-in-one endometer and apex locator, this high-tech tool allows autonomous navigation in the canal. The Jeni has a programme which allows the MicroMega One RECI to be utilised; the motor can also be used with the MicroMega OneCurve and COLTENE HyFlex™ EDM file systems.

Whether posts or irrigation solutions, obturation and sealing materials or other accessories, COLTENE has everything an endodontist needs.

More patients are choosing root canal therapy, so they can retain their tooth and avoid an extraction, which in turn prevents bone loss. Expectations are higher than they’ve ever been, so only use the tools and materials that allow your practice to offer successful and stable treatment, which is delivered comfortably and is also good value. Your patients will be satisfied with the outcome: free from pain and motivated to maintain their oral health. You will watch your reputation grow and benefit from increased patient loyalty at the same time!

COLTENE believes there is always a way to do things better, more efficiently and safely for upgraded dentistry. The team is remains dedicated to exceptional customer service and support, offering all the product information and guidance you may need to elevate your everyday patient care.

Get in touch with the team today to find out how you can experience the MicroMega One RECI and achieve endodontic excellence every time.

 

For more on COLTENE, visit www.coltene.com,
email
info.uk@coltene.com or call 0800 254 5115.

 

The Probe Dental Podcast Presents: PEERS with Michael Norton (Dentsply Sirona Podcast)

In this podcast, brought to you by Dentsply Sirona, outgoing PEERS President, Michael Norton discusses the importance of PEERS (The Platform for Exchange of Experience, Research and Science), what it stands for and how the sharing of research, knowledge and ideas amongst peers is as relevant as it has always been in today’s digital world.

PEERS was founded by Dentsply Sirona as a platform fuelled by a continual investment in research, learning and professional development in the area of implant dentistry. PEERS – which stands for Platform for Exchange of Experience, Research and Science – is designed to promote enhanced partnerships between Dentsply Sirona and dental implant professionals, as well as to facilitate collaboration between its members.

Listen here or wherever you get your podcasts, including Apple PodcastsGoogle PodcastsSpotify and more:

 

dentsplysirona.com